Laserfiche WebLink
REQUIRED SUBMITTALS <br />1. <br />2. <br />5. <br />6. <br />7. <br />8. <br />---- Completed Application Fonn <br />~ “** “>- i" *««!"«^ grade are proposed. In addiuon, provide one (I) cony 8Vi" x I r fnr <br />^ vic« L oVco^^x“ 7----- List of the l.gal names (include marital status) of all persons with an In <br />Xr As an addend^ to this applicaUon. please attach a scfMrate list of my ^er <br />pers^ you v,ish notified of this application. ^ <br />Additional items as may be requested by City staff. <br />APPLICANTS SIGNATURE <br />The applicant hereby agrees to provide all information required or reouested hv thi. 7nn?n» <br />•nd/of consultant expenses incuiied in leriew of this anolicaiinn .!S*-Z. r ’?iT^ ^ <br />inforeiaiion supplied is tiue and cooect to the lest of hisfli« knowtedge. <br />Applic««-S SignatureOxJ. ^ » r.Hp. nV r ^ , Date / VT>.. <br />C c»x.kVruc^oo __________ <br />OWNER’S SIGNATURE------------------- <br />o^. Sir^ -D.. —O <br />iSSL’ZS- !!LSSS^3:,SSJlfs:SZ t''rf <br />rzs" >»•'■»-» -r«*4is <br />£/- O O ^r. <br />/ / '-<■ <br />T.-. «